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Active NPI 1063664183 Individual Practitioner Male Practitioner

Jack K Willis , PA

Physician Assistant • Odessa, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jack Willis, PA is a certified Physician Assistant practicing in Odessa, TX. With approximately 18 years of clinical experience since completing medical education in 2008, Jack Willis delivers high-quality medical care to the local community at 4060 MEDICAL PARK DR # A.

Jack Willis is affiliated with Francisco J. Salcido, M.D. P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4060 Medical Park Dr # A

Odessa, TX 797652233

Telephone 4325822882
Fax 4325822884
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Odessa, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +8.9 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
53 Specialists

Practicing in Odessa, TX (11140 Statewide)

Telehealth Adoption Rate
7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Willis (18 Years) 18 Yrs
Odessa Specialty Average (9.1 Years) 9.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg
245 26 $4.00 $0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
122 116 $245.00 $104.19
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
57 54 $150.00 $67.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
49 49 $371.02 $136.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
42 42 $40.00 $11.57
71046 X-ray of chest, 2 views
33 31 $51.00 $21.80
81002 Urinalysis, manual test
28 27 $10.00 $3.41
99213 Established patient office or other outpatient visit, typically 15 minutes
20 20 $115.00 $72.00

Medical Specialties & State Licenses

CMS Verified: 2025-12-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA05950

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Francisco J. Salcido, M.d. P.a.

710 E 6th St, Odessa, TX 797614655

Phone: 4325822882

Francisco J. Salcido, M.d. P.a.

4060 Medical Park Dr, Odessa, TX 797652233

Phone: 43258222822

Francisco J. Salcido, M.d. P.a.

460 Medical Park Dr, Odessa, TX 797652233

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Sandra Nieto , FNP

Nurse Practitioner

NPI 1013444892

Family Nurse Practitioner

NPI 1093719767

Doctor of Medicine (M.D.)

Madison Cross

Physician Assistant

NPI 1184408429
Miranda Nhoy , PA-C

Physician Assistant

NPI 1245985837

Physician Assistant (Certified)

Melissa Martinez , FNP

Nurse Practitioner - Family

NPI 1356983316

Family Nurse Practitioner

Jose Garcia , MPAS, PA-C

Physician Assistant

NPI 1366794463

MPAS, Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 12, 2025

Registered at 4060 MEDICAL PARK DR # A, ODESSA, TX 797652233 (Tel: 4325822882)

📍
Updated Business Mailing Address December 12, 2025

Registered at 4060 MEDICAL PARK DR, ODESSA, TX 797652233 (Tel: 4325822882)

NPI Profile Active August 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2015

Registered at 407 KENT ST, MIDLAND, TX 797015858 (Tel: 4326872273)

📍
Updated Business Mailing Address August 06, 2015

Registered at 407 KENT ST, MIDLAND, TX 797015858 (Tel: 4326872273)

👤
Provider Name / Credentials Updated August 06, 2015

Recorded as JACK WILLIS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2015

Physician Assistant (License #PA05950 in TX)

🟢
Initial NPI Registration & Enumeration October 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063664183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2008
Last Update: December 12, 2025
Sole Proprietor: No

Mailing Address

4060 Medical Park Dr

Odessa, TX 797652233

Phone: 4325822882

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.